Neonatal disease severity scoring systems

Dorling, Jon; Field, David; Manktelow, Bradley N

doi:10.1136/adc.2003.048488

Cited by 155 publications

(184 citation statements)

References 34 publications

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“…Last, we did not utilize severity scoring because many of these systems (eg, newborn respiratory distress scoring system, clinical risk index for babies, and score for neonatal acute physiology) were developed to evaluate the initial risk at time of admission and are limited to the first hours and days of life. 22,23 Since all patients in our neonatal ICU are postnatally transferred (sometimes days or weeks following birth), we do not utilize these scoring systems. For these reasons, we chose not to include them in our paper.…”

Section: Discussionmentioning

confidence: 99%

Assessing Initial Response to High-Frequency Jet Ventilation in Premature Infants With Hypercapnic Respiratory Failure

et al. 2017

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BACKGROUND: High-frequency jet ventilation (HFJV) has been used in conjunction with conventional ventilation for infants with respiratory failure. We sought to identify parameters that were associated with successful application of HFJV in patients with hypercapnic respiratory failure. METHODS: A single-center, retrospective review of infants who received HFJV was conducted. Subjects were enrolled if birthweight was <2,000 g and capillary P CO 2 was >55 mm Hg. Ventilator parameters and physiologic data were recorded at 1 h before HFJV initiation and at hours 1, 4, and 6 following conversion. Subjects were classified as responders if capillary P CO 2 was reduced by >10% after 1 h of HFJV. Data included peak inspiratory pressure, PEEP, capillary P CO 2 , and oxygen saturation index (equal to mean airway pressure ؋ F IO 2 ؋ 100/S pO 2 ). Because the data were not normally distributed, they are reported as median (interquartile range), and the Mann-Whitney test was used to assess differences in continuous data between groups. Categorical data were analyzed using a chi-square and Fisher exact test. RESULTS: Thirty-four premature infants (n ‫؍‬ 24 male) were studied. Twenty-five subjects were classified as responders and demonstrated a significant reduction of capillary P CO 2 and F IO 2 and increased pH within the first hour. The non-responders demonstrated a higher conventional ventilation peak inspiratory pressure (25 cm H 2 O vs 19 cm H 2 O, P ‫؍‬ .005) and had a greater postmenstrual age (30 weeks vs 26.5 weeks, P ‫؍‬ .01). This group had a higher oxygen saturation index (7.25 vs 3.36, P ‫؍‬ .03) and F IO 2 requirements (0.6 vs 0.35, P ‫؍‬ .038) at 4 h. CONCLUSIONS: We identified that lower postmenstrual age, improvements in capillary P CO 2 and pH at 1 h, and a reduction of F IO 2 were associated with good response to HFJV. These data may help to identify patients who are likely to benefit from HFJV in the neonatal intensive care unit.

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Section: Discussionmentioning

confidence: 99%

Assessing Initial Response to High-Frequency Jet Ventilation in Premature Infants With Hypercapnic Respiratory Failure

et al. 2017

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“…Moreover, the use of scoring systems is mandatory in order to effectively compare performances between neonatal intensive care units (NICUs), in regard to variations in mortality and morbidity between different NICUs. (1,2) The Clinical Risk Index for Babies (CRIB) score is a risk-adjustment instrument widely used in NICUs. (3) It was developed more than twenty years ago and is based upon six variables.…”

Section: Introductionmentioning

confidence: 99%

CRIB II score versus gestational age and birth weight in preterm infant mortality prediction: who will win the bet?

Dessardo

Jašić

Dessardo

et al. 2016

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“…In this sense, various studies (Dorling, Field, & Manktelow, 2005;Pasman, Rotteveel, Maassen, de Graaf, & Kollée, 1998;Spittle et al, 2014;Zaramella et al, 2008) have indicated that the PERI is useful for assessing a child's risk through their subsequent development and for rapidly and reliably predicting the child's future development. The current study found a negative correlation between the PERI and the development of visual-perceptive abilities at four and five years of age, which might influence the process of learning to read, an important skill for academic performance.…”

Section: Discussionmentioning

confidence: 99%

Neuropsychological assessment and perinatal risk: A study amongst very premature born 4- and 5-year old children

Sanchez-Joya

Sánchez‐Labraca

Roldan-Tapia

et al. 2017

Research in Developmental Disabilities

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Background: Prematurity and its consequences are serious problems that can result in numerous neurosensory disabilities and cerebral cognitive dysfunctions. The Perinatal Risk Index (PERI) might provide a predictive measure of these problems. Aim:This study compared the cognitive development of prematurely born children at 4 and 5 years of age with age-matched peers born at term. The secondary objective was to determine whether a correlation exists between perinatal risk and performance on neuropsychological tests among premature children.Methods: A total of 54 children between four and five years of age were evaluated; 27 were born very premature (premature group; PG), and 27 were born at term (term group; TG). Executive function, attention, memory, language, visual perception, and spatial structuring were evaluated. Subtests from the Kaufman Assessment Battery for Children, the Rey Complex Figure Test, the McCarthy Scales of Children's Abilities, the Peabody Picture Vocabulary Test, Test A, Trails A and B, the spatial structuring questionnaire from the Child Neuropsychological Maturity Questionnaire, and the Wechsler Intelligence Scale for Children were used. A PERI score was also obtained for the PG. Results:The PG showed significantly lower scores than the TG in all the studied cognitive domains. Visualperceptive scores were significantly and negatively correlated with the PERI scores of the PG. Conclusions:The PG showed neurocognitive deficits compared with the TG. The PERI can be used to predict the development of visual-perceptive abilities in children between four and five years of age.

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Neonatal disease severity scoring systems

Cited by 155 publications

References 34 publications

Assessing Initial Response to High-Frequency Jet Ventilation in Premature Infants With Hypercapnic Respiratory Failure

Assessing Initial Response to High-Frequency Jet Ventilation in Premature Infants With Hypercapnic Respiratory Failure

CRIB II score versus gestational age and birth weight in preterm infant mortality prediction: who will win the bet?

Neuropsychological assessment and perinatal risk: A study amongst very premature born 4- and 5-year old children

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